Active NPI
Decatur Vein Clinic Colorado PC
Doing business as Colorado Vein Clinic PC
- Vascular Surgery Physician
- Grand Junction, CO
National Provider Identifier
1326148693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- DECATUR VEIN CLINIC COLORADO PC
- Doing business as
- Colorado Vein Clinic PC
- Practice address
- 601 Center Ave
Grand Junction, CO 81501-2041 - Phone
- (970) 242-3641
- Fax
- (970) 241-1674
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Vincent, MD
- Title
- Owner
- Phone
- (970) 263-7348
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
601 Center Ave
Grand Junction, CO 81501-2041
Mailing address
601 Center Ave
Grand Junction, CO 81501-2041
Phone (970) 263-7348
Other names 1
- Colorado Vein Clinic PC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Grand Junction, CO
- NPI 1346395985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364083200000",
"number": "1326148693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 CENTER AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012041",
"telephone_number": "970-263-7348",
"fax_number": "970-241-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 CENTER AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012041",
"telephone_number": "970-242-3641",
"fax_number": "970-241-1674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DECATUR VEIN CLINIC COLORADO PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2013-03-24",
"status": "A",
"authorized_official_last_name": "VINCENT",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-263-7348",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Colorado Vein Clinic PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.